Real change happens in relationship…

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Real change is possible

I believe the kind of change people are seeking happens most fully in relationship- relationship with yourself and with the people who matter to you. My work is grounded in attachment theory and a mentalization-based approach. I will help you notice not just what you feel, but what's underneath it: the assumptions, old patterns, and unspoken fears that shape how you relate to yourself and the people around you.

Life moves fast, and it's easy to react without understanding why things aren’t working like you want. Therapy with me is a place to slow down. We'll look closely at your history, your relationships and the patterns that keep showing up, so you can respond to your life in ways that feel authentic to who you are and hope to be.

My Approach

We'll start by understanding what's actually going on beneath the problem that brought you in, not just the surface symptoms. I work relationally and hold both the emotional and the physical: when one part of you is struggling, the rest of you feels it too. We’ll pay attention to both.

With over twenty years of clinical work, I've seen how a depth-oriented approach helps people understand themselves and the people they love, creating the lasting changes they desire. I take your time and financial commitment seriously. We'll figure out together whether this is the right fit for you.

Please reach out here when you are ready, and let's step into the work together.

Getting Started

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Working together

Who I Work With

  • Adults navigating various mental health issues like anxiety, depression, and childhood trauma

  • Adolescents and young adults needing support through the foundational years of identity development

  • Families and couples seeking clear guidance through transition, conflict, or wanting help to create more emotional connection

  • Parents searching for professional advice around their child’s developmental and emotional needs

  • Individuals or couples exploring relationship issues and long-standing patterns

  • People drawn to reflective, relational, and depth-oriented therapy

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services offered

What You Can Expect

  • A calm, grounded space to explore what’s happening inside

  • Support in understanding the emotional patterns shaping your relationships

  • Tools for communication, reflection, and emotional regulation

  • A collaborative process tailored to your needs

  • An experienced therapist who stays curious, steady, and attuned

  • Clear and direct insight to the problems you bring to therapy

Next Steps

  • Reach out through my contact form, phone or email

  • Schedule a brief consultation

  • We’ll talk about what’s bringing you in and whether in person or telehealth is right for you

  • If it feels like a good fit, we’ll begin working together at a pace that feels right

Experience

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Julie Cake, MA, LMHC

  • Over twenty years experience as a psychotherapist

  • Founded Seattle Therapy Alliance (now Mend) in 2009, Director of Clinical Supervision

  • Former president of Northwest Alliance for Psychoanalytic Study

  • ADHD

  • Adolescents

  • Anxiety and Panic

  • Childhood Trauma

  • Depression

  • Disability

Areas of Expertise and Interest

  • Eating Disorders

  • Family Relationships

  • Grief and Loss

  • Life Transitions

  • Parenting 

  • Substance Issues

Learn More about me

  • I offer a range of solutions designed to meet your needs from weekly individual therapy, family work or supervision/consultation. I offer in person work or telehealth over HIPAA compliant Zoom.

  • Getting started is simple. Reach out through my contact form, email me or leave me a voicemail. I’ll walk you through the next steps and answer any questions along the way. Once we find a mutual time to meet, you will receive paperwork via the secure platform of Simple Practice.

  • You can reach me anytime via the contact page, direct email at julie@juliecake.com or by phone at 206.920.1448. I will try to respond quickly—usually within one business day.

  • While I am not paneled with insurance, most of my clients are able to use insurance to cover some of the costs for out-of-network therapy. I will provide you a Good Faith estimate before we begin, to help you determine your out-of-pocket expenses. If I am able to submit a claim on your behalf, I will. As needed, I will provide you a monthly super bill with the required information to submit a claim for reimbursement.

  • Most clients use a credit card through the secure platform of Simple Practice. If you prefer to avoid the fee, you can make payments through Zelle.

  • I’m collaborative, honest, and compassionate. I’m consistent and reliable. I’ll be here to guide the process, bring ideas to the table, and keep things moving. I offer a safe, judgement-free experience.

Frequently Asked Questions

Let’s begin the work together

Feel free to contact me by phone, email or through the contact form.

I will get back to you within 48 hours of your message.

I look forward to speaking with you about your specific situation, needs and availability.

Contact Me